1073971164 NPI number — THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON

Table of content: (NPI 1073971164)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073971164 NPI number — THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073971164
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1825 PRESSLER ST
Provider Second Line Business Mailing Address:
ROOM SRB 509
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77030-3725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-500-2457
Provider Business Mailing Address Fax Number:
713-500-2420

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1825 PRESSLER ST
Provider Second Line Business Practice Location Address:
ROOMS SRB 510 & 511
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-3725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-500-2457
Provider Business Practice Location Address Fax Number:
713-500-2420
Provider Enumeration Date:
02/03/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ROSENBLATT
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
P
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
713-500-2457

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 45D2036245 . This is a "CLINICAL LABORATORY IMPROVEMENT AMENDMENTS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com